Individual
DAWSON THOMAS WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(126) 042-6543
Mailing address
2018 BAYER AVE, FORT WAYNE, IN 46805-3415
(260) 615-8875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004668A
IN
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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